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When cigarette butts are littered, these chemicals can leach into the ground, contaminating soil and affecting soil health, plant growth and the overall balance of the ecosystem

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Gaiha et al

Other oral formats, such as gums or lozenges, do not cause these issues, as the usage behavior has the product moving around the mouth and mixing with saliva, which lessens risks

Smoking Behaviours and Cessation Services among Male Physicians in China: Evidence from a Structural Equation Model